SILVER LAKES
SUMMER JUNIOR GOLF CAMP 2010

ENTRY FORM

DATES: June 14 – 17______ July 12 - 15______

TIMES: 8:00-12:00 Each day

Price: $150 per week ( Lunch included each day)

NAME________________________________________________

ADDRESS____________________________________________

CITY_______________________STATE________ZIP CODE_________

TELEPHONE (___)______________EMAIL_______________________

AGE (7-15)_________ Boy_______ Girl________

Do you have any medical conditions we should be aware of?_________ ___________________________________________________________

How long have you played golf?__________________________

Do you have a set of clubs?______________________________

What is your average score for 9 holes?____________________

I___________________________________________________ hereby acknowledge that RTJGT at Silver Lakes is not responsible for related injuries due to participation of summer golf camps. Silver Lakes will take precautions to prevent any type of injury while on property. Also, I understand that rules and regulations of the golf camps will be set forth on the first day of each session.

Participant’s Signature_________________________________

Parent or Guardian Signature____________________________

FAX ENTRY TO SILVER LAKES 256-892-2297 or CALL 256-892-3268